Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.09	Facility		$0.02	$0.05	$0.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.06	Professional		$0.02	$0.04	$0.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $21.81	Professional		$7.39	$7.39	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $293.00 / $876.00	Facility		$4.07	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $21.20 / $40.21	Professional		$4.03	$21.20	$40.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $16.84 / $25.45	Professional		$11.79	$16.84	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.73 / $2.06	Facility		$0.47	$0.73	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $21.48 / $28.68	Professional		$16.00	$21.48	$28.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $56.00 / $393.93	Professional		$23.00	$56.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $135.76 / $135.76	Facility		$112.04	$135.76	$135.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $32.52 / $52.54	Facility		$0.74	$32.52	$52.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.94 / $115.39	Professional		$9.55	$22.94	$115.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $10.37 / $34.65	Professional		$9.14	$10.37	$34.65